Uríarte P, Florenzáno F, Kauffmann R, Meruane J
Rev Med Chil. 1989 Jan;117(1):42-5.
A 73 year old woman with severe aortic stenosis, functional class III, developed obstructive jaundice. A percutaneous aortic valvuloplasty was performed and the peak gradient decreased from 80 to 22 mmHg while the cardiac index increased from 1.83 to 2.22 l/min/m2 and the aortic valve area from 0.30 to 0.63 cm2. One week later, cholecystectomy, and common duct drainage was performed with no complications. Thirteen months later the patient remains functional class I with echographic findings supporting a continuous success of the aortic valvuloplasty. This patient illustrates one of the possible indications for percutaneous balloon valvuloplasty for severe aortic stenosis.
一名73岁、心功能Ⅲ级的重度主动脉瓣狭窄女性患者出现了梗阻性黄疸。进行了经皮主动脉瓣球囊成形术，峰值压差从80 mmHg降至22 mmHg，心脏指数从1.83升/分钟/平方米增加到2.22升/分钟/平方米，主动脉瓣面积从0.30平方厘米增加到0.63平方厘米。一周后，进行了胆囊切除术和胆总管引流术，未出现并发症。13个月后，患者心功能Ⅰ级，超声心动图检查结果表明主动脉瓣球囊成形术持续成功。该患者说明了重度主动脉瓣狭窄经皮球囊瓣膜成形术的一种可能适应证。
